HomeMy WebLinkAbout07080069 Application
City of Carmel/Clay Township Permit #: 0 70 8'DO~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
SEWER UTILITY
PROVIDER:
PHONE:
lNG
FAX: .
'3i <;'-2\(0 \
81S'<169S
cm:
STATE:
ZIP:
NAME:
fINMor, '<;. Mc\,\V\, LLG
STREET ADDRESS:
S.q w\J..
cm:
LOT #:
\3G
SUBDIVISION NAME:
ADDRESS OF CONSTRUCTlON:
'2-b4 . 1<<.
Sl
t-lw
SQUARE
FOOTAGE:
ESTIMATED COST OF CONSTRumON: q,1c:,
(EXCLUDING LAND VALUE) n, \ LO I 00 6 ~
.....,\S ~""U"""'-'"''''''> rlA(:> reZ:z:wul ,,^OCIa-I- ""
O"/~o;. * C"-'t;1Q6?,(v 6""< D166bS?.
TAX MAP PARCEL #: ,(,,-0:\- 'J.,S-c z....6'~.- 0- 6.=
H.o-Oc\~S.-C2-o-;;'. 01..l.. "'.C
L:(:A,\{YV\..{I\..
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
Ji! TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
_Y --i-N
_Y >< N
WATER UTILITY
PROVIDER:
Co.'< Me\
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WEll AND/OR SEPTIC PERMIT #'5 (IF APPUCAB
FLOOD ZONE AREA DESIGNATlON{S)
FOR THIS PROPERTY: '~ ~\. j..,., j'
Early Release
Permit:
Lot Split:
PLUMBING CONTRACTOR:
'l2- '<,; a. f\ \A yY\ h Vt.0)
Plumber's Indiana State License #:
'2~
Cf>9>9-J'?-,CO\ -,-
TYPE OF IMPROVEMENT:
fX.' NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o DECK ADDITION(S)
o REMODEL
Which plumbing codes will be applied to the construction:
_ Basement Finish only .#
o ACCESSORY BUILDING ct International Residential Code w{Indiana Amendments
o DETACHED GARAGE L. . .
o ATTACHE.~~}\B 0 Umform Plumbmg Code wI Indiana Amendments
o DEMOLIT~b~ ED FOR QDM~' (Check all that apply for the new
1ect to cOrnPlian n......r.ucl:i n .
Manufactured _~ ~f S te ce...llTrClJriBgu alion
Trusses: DE--PTY 0 and local Cdiae5;RAwLSPAltE 0 POST & BEAM _PIER
Sump PumpC/TY-e/f: M~MUN/TY fS~es BASEMENT (WALKOUT:_Y_N )
For Single Family and Two Family dwellings, additions, remodels, and/or acce~)QflJf~~~wes, this penni U?only if construction commences within 180
days of the date of issuance of the building permit, and must be completed (Certificate C!trnccupancy issued) within 18 months of the issuance date. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 12) regarding expiration time frames for beginning and
- completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana - I99r (Z~
289) and amendments, adopted under authority of r.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are connected to th~anitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupanc '" en ."ued by the Dep tme tQfCommuuitySernce'.C~el.ludiana. ~ I
.. ~ 0111. M~/f-#- 7ft 07- 0/
Signature of OWner or uthonzec:l Agent Print Date
OFFICEUSEONLY;*********************************************************************************
INSPECTIONS REQUIRED: Filing Fees: J)' 6 (), ~ (]
~ . ~_ Base Inspections: :2'ii If. ~ 0 # Charged Re-
Upper Footl g Lower Footing ~b ReViews
~ . Cert. of Occupancy: ,~"), ~O
Rdilgii1: CMei:er ~e .F;;a'I Site "
- . . ~, P.R.I.F.: flld.. Piel!fI,)U~ Additional Fees
_J!.t!J,o;""f!:~it= ,-, ~~ 'b:Jd3;1~
S:Permlts/FormsjllP RESIDENTIAL Fee Received b . Date